Individual
LUCY KIRAKOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 368-7800
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 368-7800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06202882
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
OTHER
—
Enumeration date
07/26/2020
Last updated
10/07/2020
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